Module 5: Skin Exam QUESTIONS AND CORRECT DETAILED
ANSWERS\ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) A NEW UPDATED VERSION |ALREADY GRADED
A+
Indication for glove use during skin exam
Wear gloves when moisture, weeping, or bleeding is present.
Centimeter ruler use in skin assessment
Measures unexpected findings and wound dimensions.
Skin temperature assessment technique
Use dorsal (back) side of hands (more temperature sensitive than
palms).
How to assess upper extremity temperature differences
Touch both arms above elbows with backs of hands; move down to
fingers simultaneously; compare.
,Proper technique to assess skin turgor
Pinch a large fold of skin near the collarbone and observe return
to baseline.
Why collarbone area used for turgor
Reliable site with minimal influence from underlying fat/muscle.
Edema assessment technique
Inspect and palpate; assess for pitting.
Pitting edema assessment duration
Apply pressure for 3-4 seconds.
Pitting edema grading scale
1+ barely detectable to 4+ (≥8 mm, long-lasting).
Capillary refill assessment technique
Hands at heart level; apply pressure to nail edge to blanch for 5
seconds; release and time return to baseline color; compare
bilaterally.
,Hand positioning for cap refill
At or near heart level.
Capillary refill importance
Assesses peripheral blood flow/oxygenation; reflects cardiovascular
and respiratory status.
Capillary refill normal
Less than 2 seconds (returns to baseline color).
Delayed capillary refill indicates
Poor perfusion; possible peripheral vascular or respiratory issue.
Skin lesion documentation components
Color; height (flat or raised); shape; size (cm); location (localized or
generalized); drainage (presence, color, odor).
Purpose of skin assessment documentation
Establishes baseline data and supports future comparison of health
changes.
, Objective skin documentation best practice
Use precise measurements and correct medical terminology.
Subjective skin data source
Client-reported symptoms and experiences.
Health history: skin problems details to gather
Onset, appearance, location, perceived cause, treatments sought, and
effectiveness.
Why ask treatment effectiveness
Guides current care and identifies resistant patterns needing
further evaluation.
ANSWERS\ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) A NEW UPDATED VERSION |ALREADY GRADED
A+
Indication for glove use during skin exam
Wear gloves when moisture, weeping, or bleeding is present.
Centimeter ruler use in skin assessment
Measures unexpected findings and wound dimensions.
Skin temperature assessment technique
Use dorsal (back) side of hands (more temperature sensitive than
palms).
How to assess upper extremity temperature differences
Touch both arms above elbows with backs of hands; move down to
fingers simultaneously; compare.
,Proper technique to assess skin turgor
Pinch a large fold of skin near the collarbone and observe return
to baseline.
Why collarbone area used for turgor
Reliable site with minimal influence from underlying fat/muscle.
Edema assessment technique
Inspect and palpate; assess for pitting.
Pitting edema assessment duration
Apply pressure for 3-4 seconds.
Pitting edema grading scale
1+ barely detectable to 4+ (≥8 mm, long-lasting).
Capillary refill assessment technique
Hands at heart level; apply pressure to nail edge to blanch for 5
seconds; release and time return to baseline color; compare
bilaterally.
,Hand positioning for cap refill
At or near heart level.
Capillary refill importance
Assesses peripheral blood flow/oxygenation; reflects cardiovascular
and respiratory status.
Capillary refill normal
Less than 2 seconds (returns to baseline color).
Delayed capillary refill indicates
Poor perfusion; possible peripheral vascular or respiratory issue.
Skin lesion documentation components
Color; height (flat or raised); shape; size (cm); location (localized or
generalized); drainage (presence, color, odor).
Purpose of skin assessment documentation
Establishes baseline data and supports future comparison of health
changes.
, Objective skin documentation best practice
Use precise measurements and correct medical terminology.
Subjective skin data source
Client-reported symptoms and experiences.
Health history: skin problems details to gather
Onset, appearance, location, perceived cause, treatments sought, and
effectiveness.
Why ask treatment effectiveness
Guides current care and identifies resistant patterns needing
further evaluation.
